ATI Med-Surg Proctored Exam Review
2023
Respiratory Alkalosis S/S - answerlethargy
lightheadedness
confusion
tachycardia
dysrhythmias related to hypokalemia
nausea
vomiting
epigastric pain
numbness and tingling of the extremities
hyperventilation (tachypnea)
A nurse is contributing to the plan of care for an older adult client who is at risk for Osteoporosis. Which
intervention should the nurse include to prevent bone loss? - answerEncourage weight bearing exercises
(such as walking because it can help maintain bone mass by reducing bone demineralization, thus
helping to prevent osteoporosis.)
A nurse is caring for a client who has meningococal pneumonia. Which of the following personal
protective equipment should the nurse use? - answerMask (this disease requires droplet precautions)
A nurse is reinforcing teaching with a client who is taking insulin Glargine. What information should the
nurse include in the teaching? - answerThis type of insulin should be given at the same time everyday. (It
is released over a 24hr period)
, A home health nurse is reinforcing teaching with a client about preventing complications of peripheral
vascular disease. What statement by the client indicates that they are adhering to the nurse's
instructions? - answer"I don't cross my legs anymore".
A nurse is caring for a client who has a methicillin-resistant Staphlococcus aureus (MRSA) infections in a
surgical wound. What information should the nurse plan to share with visitors? - answerVisitors must
don a gown & gloves prior to entering the client's room.
A nurse is reinforcing teaching with a client who has heart failure and a new prescription for
hydrochlorothiazide. What should the client report to the provider? - answerOnset of nausea
A nurse is reinforcing discharge teaching with a client who has hearing loss. What action should the
nurse take when communicating with the client? - answerRephrase client instructions when not
understood.
A nurse is caring for a client who is 1 day post operative following a hip arthroplasty. The client is
exhibiting hypotension, tachycardia, & tacky-nearly. The nurse should recognize these findings as what
complication? - answerPulmonary Embolism
A nurse is monitoring a client who recently had a cast placed on the right lower extremity for a bone
fracture. What finding should the nurse recognize as abnormal? - answerLack of sensation between the
first and second toes
A nurse reinforcing teaching with a client who has systemic lupus erythematosus (SLE) and is to begin
taking methylprednisolone orally. What should the nurse include in the teaching? - answerLimit contact
with large groups of people
A nurse is caring for a client who is 24hr postoperative following abdominal surgery & has an NG tube.
What action should the nurse plan to take to decrease the risk of postoperative complications? -
answerEncourage the client to use an incentive spirometer every hour while awake
2023
Respiratory Alkalosis S/S - answerlethargy
lightheadedness
confusion
tachycardia
dysrhythmias related to hypokalemia
nausea
vomiting
epigastric pain
numbness and tingling of the extremities
hyperventilation (tachypnea)
A nurse is contributing to the plan of care for an older adult client who is at risk for Osteoporosis. Which
intervention should the nurse include to prevent bone loss? - answerEncourage weight bearing exercises
(such as walking because it can help maintain bone mass by reducing bone demineralization, thus
helping to prevent osteoporosis.)
A nurse is caring for a client who has meningococal pneumonia. Which of the following personal
protective equipment should the nurse use? - answerMask (this disease requires droplet precautions)
A nurse is reinforcing teaching with a client who is taking insulin Glargine. What information should the
nurse include in the teaching? - answerThis type of insulin should be given at the same time everyday. (It
is released over a 24hr period)
, A home health nurse is reinforcing teaching with a client about preventing complications of peripheral
vascular disease. What statement by the client indicates that they are adhering to the nurse's
instructions? - answer"I don't cross my legs anymore".
A nurse is caring for a client who has a methicillin-resistant Staphlococcus aureus (MRSA) infections in a
surgical wound. What information should the nurse plan to share with visitors? - answerVisitors must
don a gown & gloves prior to entering the client's room.
A nurse is reinforcing teaching with a client who has heart failure and a new prescription for
hydrochlorothiazide. What should the client report to the provider? - answerOnset of nausea
A nurse is reinforcing discharge teaching with a client who has hearing loss. What action should the
nurse take when communicating with the client? - answerRephrase client instructions when not
understood.
A nurse is caring for a client who is 1 day post operative following a hip arthroplasty. The client is
exhibiting hypotension, tachycardia, & tacky-nearly. The nurse should recognize these findings as what
complication? - answerPulmonary Embolism
A nurse is monitoring a client who recently had a cast placed on the right lower extremity for a bone
fracture. What finding should the nurse recognize as abnormal? - answerLack of sensation between the
first and second toes
A nurse reinforcing teaching with a client who has systemic lupus erythematosus (SLE) and is to begin
taking methylprednisolone orally. What should the nurse include in the teaching? - answerLimit contact
with large groups of people
A nurse is caring for a client who is 24hr postoperative following abdominal surgery & has an NG tube.
What action should the nurse plan to take to decrease the risk of postoperative complications? -
answerEncourage the client to use an incentive spirometer every hour while awake
